1. Requestee Details
1.1 Name: Emina Christine
1.2 Date of Birth: 14/10/96
1.3 Phone Number: 531-4133
1.4 Occupation: LSC Mechanic
1.2 Date of Birth: 14/10/96
1.3 Phone Number: 531-4133
1.4 Occupation: LSC Mechanic
2. Requestee Details
2.1 Have you completed the felon reformation program?
No, last felony was in 2019. that was not a thing back then
2.2 Availability:
Anytime between 10am and 1am UTC +01:00 (( /time))
2.3 Why do you wish to go on a Ride-Along with the Los Santos Emergency Medical Services?:
I'm trying to reinstate in to the department and wish to see how the department has progressed since 2019
2.4 Have you read our information which contains the rules and regulations?:
yes
No, last felony was in 2019. that was not a thing back then
2.2 Availability:
Anytime between 10am and 1am UTC +01:00 (( /time))
2.3 Why do you wish to go on a Ride-Along with the Los Santos Emergency Medical Services?:
I'm trying to reinstate in to the department and wish to see how the department has progressed since 2019
2.4 Have you read our information which contains the rules and regulations?:
yes
3. Release & Wavier
I, The Applicant; of sound mind and body, voluntarily participates in the Los Santos Emergency Medical Services Ride-Along Program. I understand that there are risks, such as physical, or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability, or death, which may occur from participating. Nonetheless, I assume all related risks, whether known or unknown to me. I agree to hold the Los Santos Emergency Medical Services harmless from any and all claims, loss, or damage to my person which includes liabilities and costs as a result of my participation in their program. I understand that the Los Santos Emergency Medical Services has the right to waive my right to their Ride-Along Program for any reason and at any time, especially if I were to violate the Rules and Requirements they have set. With the following, I sign this application knowing that I am to adhere to the Terms and Conditions set by the Los Santos Emergency Medical Services
3.1 Signature: Emina Christine
3.2 Date: 04/14/2023
3.2 Date: 04/14/2023